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Crew resource management: applications in healthcare organizations. | PSNet

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November 10, 2021 - Commentary Crew resource management: applications in healthcare organizations. Citation Text: Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Simulation-based training for patient safety: 10 principles that matter. | PSNet

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January 02, 2017 - Review Simulation-based training for patient safety: 10 principles that matter. Citation Text: Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6. Copy Citation Format: DOI Google…

When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet

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March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. | PSNet

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September 12, 2018 - Book/Report The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Citation Text: The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; …

Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet

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December 24, 2007 - Government Resource Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Citation Text: Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005. Copy Citation …

Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. | PSNet

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May 06, 2015 - Special or Theme Issue Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Citation Text: Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100. Copy Citation …

Airway carts: a systems-based approach to airway safety. | PSNet

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July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet

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August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. | PSNet

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September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…

Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. | PSNet

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June 27, 2018 - Book/Report Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Citation Text: Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. Copy Citation …

Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet

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November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet

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January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

Improving care transitions: current practice and future opportunities for pharmacists. | PSNet

psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists

December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet

psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product

March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Citation Text: Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Washington, DC: United States Government Accountability Off…

Management of a patient with a latex allergy. | PSNet

psnet.ahrq.gov/issue/management-patient-latex-allergy

June 21, 2017 - Commentary Management of a patient with a latex allergy. Citation Text: Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. | PSNet

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August 08, 2014 - Book/Report Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Citation Text: Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Heal…

Fatality involving vinblastine overdose as a result of a complex medical error. | PSNet

psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error

January 25, 2023 - Study Fatality involving vinblastine overdose as a result of a complex medical error. Citation Text: Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95. Copy Citation …

Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

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June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet

psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy

August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy. Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177. Copy Citation …

The frustrating case of incident-reporting systems. | PSNet

psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems

June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

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